Purpose: Stroke is related to many different cerebrovascular events, with different ethiology and pathogenesis which are not clear enough. Frequency of the stroke in newborn infants is 1:4000 live births. Term infants are affected more frequently; clinical presentation typicaly is manifested by multifocal seisures between 1st and 4th day of life. Laboratory tests include analyses of prothrombotic factors which increase risk of thromboembolism.
Work method: We descriptively showed a term newborn with of middle cerebral arthery infarction.
Case report: A firstborn female neonate was received in intensive Care Unit because of meconial aspiration syndrome (MAS). In 3rd day of life the child had generalised seizure. Routine brain ultrasonography raised a high suspicion of middle certebral arthery infarction. The diagnosis was confirmed by CT, MRI and MR angiography. Child had not disturbances in coagulation status or other possible risk factors related to occurance of the stroke.
Conclusion: In case of seizures between 1st and 4th day of life ,especially in term infants, cerebrovasular insult is one of possibilities, and adequate laboratory and neuroradiologic diagnostics should be done. Suspicion on middle cerebral arthery infarction can be made on the basis of brain ultrasonography, but for a definite diagnosis CT, MRI and AR angiografy are needed.